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Billing Information

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The financial policy set forth is to expect payment for your services at the time your
services are rendered. Co-payments and balance dues are expected to be paid at the time of service.

We will provide insurance claim filing for the insurance plans that we participate in. If there is a
balance due after payment is rendered by the insurance company, we will expect your prompt payment of that balance.

It is the patient’s responsibility to provide us with current insurance plan information prior to services rendered
in order for accurate billing of services to be filed. As a health care provider, our relationship is with our patients
and as a team; we will continuously follow up on outstanding claims. At times, we may require the patient’s intervention
to assist us and we appreciate the patient working with us in this regard.

In order to accommodate the needs and requests of our patients and the community, we have enrolled in various managed
care plans. While we gladly provide this service to our patients, it is important for the patient to be familiar with
the guidelines of their insurance plan requirements regarding authorizations, deductibles, co-payments and other vital requirements.

We strive to offer our patients excellent family medical care and assist the patient to receive maximum benefit from
their insurance plan.